Individual provider Active NPI

Brandy Nichole Adams, DMD

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1306159785
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D. 5788 C1 Issued in AL
Practice address
500 Southland Dr Ste 150
Birmingham, AL 35226-3726
Phone
(205) 823-1136
Fax
(205) 823-8826
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D. 5788 C1 AL Primary

Addresses

Primary practice location

500 Southland Dr Ste 150
Birmingham, AL 35226-3726

Mailing address

500 Southland Dr Ste 150
Birmingham, AL 35226-3726
Phone (205) 823-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208001249 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183928419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D. 5788 C1ALMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1306159785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SOUTHLAND DR STE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263726",
            "telephone_number": "205-823-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTHLAND DR STE 150",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263726",
            "telephone_number": "205-823-1136",
            "fax_number": "205-823-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BRANDY",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D. 5788 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.